| NPI | 1962161463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURA S DAVIS Owner 781-589-8929 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 1041C0700X Social Worker Clinical | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health | |
| Enumeration Date | 2021-12-12 |
| Last Update Date | 2021-12-12 |